POST - THORACOTHOMY PAIN CONTROL WITH BUPIVACAINE INFUSION - THROUGH EXTRAPLEURAL CATHETERIZATION

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AGHAJANZADEH M.; KHOUSHRANG H.; POURALI H.

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Journal: Iranian Journal of Surgery Year:2005 | Volume:13 | Issue:34 Page(s): 27-34

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Title

POST - THORACOTHOMY PAIN CONTROL WITH BUPIVACAINE INFUSION - THROUGH EXTRAPLEURAL CATHETERIZATION

Author(s)

AGHAJANZADEH M. | KHOUSHRANG H. | POURALI H. | Issue Writer Certificate

Keywords

PAIN CONTROLQ4

THORACOTOMYQ3

BUPIVACAINE (MARCAIN)Q4

Abstract

Introduction & Objective: Pain after posterolateral THORACOTOMY has long been recognized as a cause of postoperative morbidity, resulting in inadequate ventilation, coughing, atelectasis, mucous plugging, hypoxia and pulmonary infection. Effecious methods of post - operative pain treatment includes: Cryoanalgesia, administration of epidural narcotics and intercostal nerve block and interpelural regional analgesia. The purpose of this study is to evaluate the effectiveness of Bupivacaine infusion through extraplural catheterization for PAIN CONTROL after THORACOTOMY.Material & Methods: One hundred - six patients undergoing elective THORACOTOMY that an intraoperatively placed indwelling extra pleural catheter randomly divided in two groups: GI (control): receive 10cc bupivacaine then 0.1m1/kg/h N/S by continues infusion pump and GII: receive 10cc bupivacaine then 0.1 ml/kg/h bupivacaine.Post operative pain was assessed for 72 hours by: linear visual analogue scale and with prince henry scale. Analgesic consumption and food intake were also investigated.Results: Evaluation of VAS showed that the average pain score in 4, 24, 48, 72 hours after operation in GI was 4.6, 6.1, 5.9, 5 and in GII was 4.5, 3.6, 2.5,1.8 (P<0.05) and with prince henry pain score in GI:2.6, 2.8, 2.5, 1.8 and in GII was 2.6, 2, 1.4, 0.8 (P<0.05). The average of food intake in 1 day after surgery in GI was 0.7 was and in 3th days was 1.3 and in GII was 1.3 and 2.7 (P<0.05). There was no complication from the catheter placement and infusion of Bupivacaine in any patient. Conclusions: This study has demonstrated that Bupivacaine infusion through extrapleural catheter was effective for control of pain after THORACOTOMY without systemic toxicity.

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APA: Copy

AGHAJANZADEH, M., KHOUSHRANG, H., & POURALI, H.. (2005). POST - THORACOTHOMY PAIN CONTROL WITH BUPIVACAINE INFUSION - THROUGH EXTRAPLEURAL CATHETERIZATION. IRANIAN JOURNAL OF SURGERY, 13(34), 27-34. SID. https://sid.ir/paper/112784/en

Vancouver: Copy

AGHAJANZADEH M., KHOUSHRANG H., POURALI H.. POST - THORACOTHOMY PAIN CONTROL WITH BUPIVACAINE INFUSION - THROUGH EXTRAPLEURAL CATHETERIZATION. IRANIAN JOURNAL OF SURGERY[Internet]. 2005;13(34):27-34. Available from: https://sid.ir/paper/112784/en

IEEE: Copy

M. AGHAJANZADEH, H. KHOUSHRANG, and H. POURALI, “POST - THORACOTHOMY PAIN CONTROL WITH BUPIVACAINE INFUSION - THROUGH EXTRAPLEURAL CATHETERIZATION,” IRANIAN JOURNAL OF SURGERY, vol. 13, no. 34, pp. 27–34, 2005, [Online]. Available: https://sid.ir/paper/112784/en

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